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Early postoperative management of patients after uvulopalatoplasty

https://doi.org/10.21518/ms2025-181

Abstract

The problem of snoring and the obstructive sleep apnea syndrome, which was first described in medicine in 1980, remains relevant today. And, despite the existing various conservative treatment methods, surgery for snoring and obstructive sleep apnea syndrome continues to develop. Topical diagnostics, including sleep video endoscopic examination, is of the most important for determining the correct treatment method. The most common operation in the pharynx for the treatment of snoring and obstructive sleep apnea syndrome is uvulopalatoplasty with bilateral tonsillectomy, although other operations have been proposed: in particular, anterior palatoplasty, lateral pharyngoplasty, suture correction of the soft palate using barb-sutures. In this regard, the problem of sore throat after pharyngeal surgeries remains relevant, which is intense and rather long-lasting, which is caused by the rich innervation of the pharynx, the constant work of the pharyngeal muscles, as a crossroad of the respiratory and digestive sistems. Along with systemic therapy, these patients also need local anesthetic, antibacterial therapy. The article is devoted to these two urgent problems and for illustration is given a clinical example of treatment of a patient with snoring and obstructive sleep apnea syndrome and its postoperative administration.

About the Authors

L. S. Karapetyan
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Liana S. Karapetyan - Cand. Sci. (Med.), Assistant Professor of the Department of Ear, Nose and Throat Diseases of the N.V. Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

8, Bldg. 2, Trubetskaya St., Moscow, 119991



L.  G. Gafurova
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Liana G. Gafurova - Resident of the Department of Ear, Nose and Throat Diseases of the N.V. Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

8, Bldg. 2, Trubetskaya St., Moscow, 119991



S. V. Starostina
Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Svetlana V. Starostina - Dr. Sci. (Med.), Professor, Professor of the Department of Ear, Nose and Throat Diseases of the N.V. Sklifosovsky Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University).

8, Bldg. 2, Trubetskaya St., Moscow, 119991



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For citations:


Karapetyan LS, Gafurova LG, Starostina SV. Early postoperative management of patients after uvulopalatoplasty. Meditsinskiy sovet = Medical Council. 2025;(7):124-128. (In Russ.) https://doi.org/10.21518/ms2025-181

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